Active NPI
Anthony W Fish, ARNP
- Family Nurse Practitioner
- Cedar Rapids, IA
National Provider Identifier
1902195704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- A095431
- Practice address
- 600 7TH St SE
Cedar Rapids, IA 52401-2112 - Phone
- (319) 861-7860
- Fax
- (319) 861-7862
- NPI assigned
- Apr 1, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | A095431 | IA | Primary |
Addresses
Primary practice location
600 7TH St SE
Cedar Rapids, IA 52401-2112
Mailing address
600 7TH St SE
Cedar Rapids, IA 52401-2112
Phone (319) 861-7860
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A095431 | IA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health Medical Associates, PLLC | Current | Accepting new patients | |
| David H. Segal MD Eastern Iowa Brain & Spine Surgery PLLC | Past | Accepting new patients |
Locations
400 E Court Ave
Ste 110
Des Moines, IA 50309
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Neurological Surgery Physician
- Cedar Rapids, IA
- NPI 1710291505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302652800000",
"number": "1902195704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 7TH ST SE",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524012112",
"telephone_number": "319-861-7860",
"fax_number": "319-861-7862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 7TH ST SE",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524012112",
"telephone_number": "319-861-7860",
"fax_number": "319-861-7862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISH",
"first_name": "ANTHONY",
"middle_name": "W",
"name_prefix": "Mr.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-01",
"last_updated": "2011-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IA",
"license": "A095431",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Rapids, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.